Potomac Health & Wellness (PHW), Inc

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

POTOMAC HEALTH & WELLNESS (PHW), INC

Doing business as

PHW Specialty Clinic

Practice address

8321 Old Courthouse Rd
Ste 202
Vienna, VA 22182-3817

Phone

(703) 740-4577

Fax

(703) 448-1257

NPI assigned

May 29, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Amjad Malik

Title

VP

Phone

(703) 740-4577

Specialties & licenses 2

Addresses

Other names 2

• PHW Specialty Clinic Doing business as
• Potomac Health and Wellness, LLC Former legal business name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Humera E Malik, M.D.

  • Internal Medicine Physician
  • Vienna, VA
  • NPI 1295744381
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1432857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736985600000",
    "number": "1508245069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5776",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222050776",
            "telephone_number": "703-740-4577",
            "fax_number": "703-448-1257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8321 OLD COURTHOUSE RD",
            "address_2": "STE 202",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823817",
            "telephone_number": "703-740-4577",
            "fax_number": "703-448-1257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POTOMAC HEALTH & WELLNESS (PHW), INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-29",
        "last_updated": "2025-01-16",
        "certification_date": "2023-04-12",
        "status": "A",
        "authorized_official_last_name": "MALIK",
        "authorized_official_first_name": "AMJAD",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "703-740-4577",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PHW Specialty Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Potomac Health and Wellness, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Madelyn Rose Pope
• Kris K Popli, D.D.S.
• Kiana Nifarette Portillo
• Stephanie Gordon Posner, PSY.D.
• Daniel Poth, OD
• Zinaida Potorac, ACNP, CCNS
• Talayah Pratt
• Premier Women'S Health PLLC
• Premise Health of Virginia Medical PC
• Premium Healthcare LLC

• Clinic/Center in Vienna, VA
• Providers in Vienna, VA by specialty
• Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.